{
"Npi": {
"NPI": "1174933824",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DAVIS CERVENY",
"FirstName": "GREER",
"MiddleName": "ANNE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "ED.S.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DAVIS",
"OtherFirstName": "GREER",
"OtherMiddleName": "ANNE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "ED.S.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5420 MAYFIELD RD STE 202",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LYNDHURST",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44124-2934",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-397-4056",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5420 MAYFIELD RD STE 202",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LYNDHURST",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44124-2934",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-397-4056",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/03/2014",
"LastUpdateDate": "01/02/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "103TS0200X",
"TaxonomyName": "School Psychologist",
"LicenseNumber": "OH3151552",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103TS0200X",
"TaxonomyName": "School Psychologist",
"LicenseNumber": "SP620",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}